Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,636.34 / $3,101.45 / $14,482.00	Facility		$1,636.34	$3,101.45	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,341.95 / $1,636.34 / $4,753.04	Professional		$1,341.95	$1,636.34	$4,753.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $11,015.00 / $15,810.00	Facility		$6,538.00	$11,015.00	$15,810.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,436.84 / $3,720.66 / $8,113.81	Professional		$1,436.84	$3,720.66	$8,113.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,929.78 / $4,592.26 / $7,407.16	Facility		$3,929.78	$4,592.26	$7,407.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,274.39 / $4,483.57 / $6,250.68	Professional		$2,274.39	$4,483.57	$6,250.68
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,516.26 / $1,843.00 / $3,035.99	Facility		$1,516.26	$1,843.00	$3,035.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,636.34 / $2,826.00 / $7,700.00	Facility		$1,636.34	$2,826.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,634.30 / $3,711.89 / $7,172.60	Professional		$1,634.30	$3,711.89	$7,172.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $135.10 / $934.78 / $3,076.98	Professional		$135.10	$934.78	$3,076.98
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,516.26 / $1,843.00 / $3,035.99	Facility		$1,516.26	$1,843.00	$3,035.99
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,998.45 / $4,613.00 / $5,453.95	Professional		$2,998.45	$4,613.00	$5,453.95
Quartz Facility/Professional Facility Modifier Low / Median / High Price $14,335.12 / $14,335.12 / $14,335.12	Facility		$14,335.12	$14,335.12	$14,335.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,338.12 / $7,213.70 / $11,348.40	Professional		$2,338.12	$7,213.70	$11,348.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,736.84 / $3,736.84 / $3,736.84	Professional		$3,736.84	$3,736.84	$3,736.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,723.11 / $8,190.67 / $8,190.67	Professional		$3,723.11	$8,190.67	$8,190.67
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,634.30 / $4,409.85 / $6,322.81	Professional		$1,634.30	$4,409.85	$6,322.81